Organization
DIVINE LOVE ADULT DAY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN WRIGHT HALL BS,MS, PHD (DIRECTOR)
(414) 248-9271
Entity
Organization
Contact information
Practice address
6245 W FOND DU LAC AVE, MILWAUKEE, WI 53218-4905
(414) 248-9271
Mailing address
6245 W FOND DU LAC AVE, MILWAUKEE, WI 53218-4905
(414) 248-9271
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/14/2022
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